Mrs Susan Olive Duncan-butler, MD | |
3614 Providence Rd S Ste 101, Waxhaw, NC 28173-6309 | |
(704) 384-8460 | |
(704) 384-8771 |
Full Name | Mrs Susan Olive Duncan-butler |
---|---|
Gender | Female |
Speciality | Pediatrics |
Location | 3614 Providence Rd S Ste 101, Waxhaw, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184621534 | NPI | - | NPPES |
NC8802C | Other | NC | MEDICARE |
130U1 | Other | NC | BCBS PROVIDER NUMBER |
1184621534 | Medicaid | NC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2001-00861 (North Carolina) | Primary |
Entity Name | Novant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1366409492 PECOS PAC ID: 1153234893 Enrollment ID: O20031121000692 |
Mailing Address | Practice Location Address |
---|---|
Mrs Susan Olive Duncan-butler, MD Po Box 60447, Charlotte, NC 28260-0447 Ph: (704) 384-7840 | Mrs Susan Olive Duncan-butler, MD 3614 Providence Rd S Ste 101, Waxhaw, NC 28173-6309 Ph: (704) 384-8460 |
Dr. Helen Sells Doss, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 6705 Wycliffe Ave., Jaars Clinic, Waxhaw, NC 28173 Phone: 704-843-6222 Fax: 703-893-2060 | |
Tiffany Madsen Ohta, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3614 Providence Rd S Ste 101, Waxhaw, NC 28173 Phone: 704-384-8460 Fax: 704-384-8771 | |
Dr. Sunita Sarin Przybylo, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 9005 Masters Court Dr, Waxhaw, NC 28173 Phone: 704-443-0043 |